Dr. Donald Breakey, MD
22 S Greene St, Baltimore, MD 21201 • +1-374-555-8727
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Baltimore Percentiles
NPI #1912360561 • CBSA Regional • Internal Medicine
Dr. Donald Breakey, MD (NPI #1912360561) practices Internal Medicine in Baltimore, MD (21201) with sub-specialty concentration in 11 Active CMS HCPCS Codes, recording 726 annual CMS services across 228 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (10th Baltimore percentile) (-0.16σ vs MD state mean, 6.64th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Breakey (averaging 3.2 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (327 encounters), paired with 99213 (189x).
Uninsured and high-deductible cash patients visiting Dr. Donald Breakey in Baltimore (21201) face an estimated $209.00 initial evaluation fee at 22 S Greene St (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.72/5 from 19 verified reports).
NPI registry verification (#1912360561) confirms Dr. Donald Breakey's MD standing serving CBSA 21201 with a 4.88/5 patient scorecard.
Compared against Baltimore, MD Internal Medicine peers
726 annual services across 228 beneficiaries
Standard deviations from MD Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 327 | 12th | $146 – $200 |
| 99213 | Established Preventive & Chronic Care Visit | 189 | 12th | $111 – $153 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 94 | 12th | $53 – $73 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 73 | 12th | $171 – $234 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 44 | 12th | $203 – $278 |
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Dr. Donald Breakey, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Breakey National Provider Identifier | NPI #1912360561 (MD) | CMS NPPES Registry (21201) |
| Dr. Breakey Baltimore CMS Volume Rank | 10.00th Pct (726 CMS svcs; Z -0.160σ) | CMS Medicare Part B (MD Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Baltimore, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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